Hearing impaired individuals tend to have a heightened chance of drug abuse issues due to their impairment, and treatment services have to be available which serves their circumstances. People who are hearing impaired can seem to be alone, lack motivation, and be without goals because of their impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional challenges that come with possessing this handicap in life. In the first place, detecting a substance abuse problem among the hearing impaired is generally a challenge, since these individuals may try to hide their issue due to social stigmas that come with abusing drugs. However, drug and alcohol treatment counselors who offer treatment to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are definitely a necessity, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions so that rehabilitation clients can know that they are not on their own, and that there is hope to resolve their problem with alcohol and drugs. Individual therapy services can be more tailor-made for everybody to ensure their unique problems can be remedied in treatment.